Running for charity enquiry form

Thank you for considering running for charity and running for Starlight!

Please complete the form below and we will get back to you as soon as
possible or call Alex on 020 7262 2881 ext #285 (Mon – Fri, 9am – 5pm)

London Marathon 2019

Charity Place Application Form

Please complete all fields marked with *

Full Name*Email address*Profession*

Date of Birth (DD MM YYYY)*

Tel*

Mobile

Address*

City*

Post / Zip Code*

We will use your email address to communicate with you about your application. Please indicate if you are happy to hear from us about:

Sports & challenges

EventsFundraising in my communityUpdates and other fundraising opportunitiesEverything!

Please indicate if you are happy to hear about other fundraising opportunities in future by

PhoneEmailAll

Please tick as appropriate

I have applied through the online public ballot and, if successful, would like to run for Starlight

I have applied through the online public ballot and, if unsuccessful, would like to be considered for a Starlight Charity Place

I have not applied through the online public ballot and would like to be considered for one of the Starlight Charity Places

How did you hear about Starlight?Have you taken part in an event for Starlight before?YesNoIf yes, which event?

Have you run a marathon before?YesNoIf yes, did you raise money for a charity? (If yes, please detail below)YesNoCharity name?YearAmount raised

How much do you think you can raise if you were allocated a place in 2018?£2,500-£3,000£3,000-£5,000£5,000-£10,000Over £10,000Does your company run a Match Giving Scheme? (ask your community relations, PR or marketing department)YesNoIf yes, how much does your company match?

Briefly outline how you would raise the sponsorship*

I confirm that the information I have provided is true and accurate to the best of my knowledge and understand that Charity Places will be allocated at Starlight’s discretion.

Thank you for supporting Starlight!

We respect your right of privacy - we will never sell your data, and we promise to keep your details safe and secure. We may use your data for profiling, to help us provide an improved experience to our supporters, and ensure we are using our funds in the best possible way. For further details on our Privacy Policy and how your data is used and stored, please visit starlight.org.uk/privacy-policy.